Evidence map›Paper›PMID 40346534›Full record

ArticleBMC cancer2025

Mobile health apps for skin cancer triage in the general population: a qualitative study on healthcare providers' perspectives.

Tobias E Sangers, Marlies Wakkee, Folkert Moolenburgh, Tamar Nijsten, Marjolein Lugtenberg

Abstract read
In one paragraph

Article in BMC cancer, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Review
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Tobias E SangersDepartment of Dermatology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, 3015 GD, The Netherlands.
Marlies WakkeeDepartment of Dermatology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, 3015 GD, The Netherlands.
Folkert MoolenburghDepartment of Dermatology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, 3015 GD, The Netherlands.
Tamar NijstenDepartment of Dermatology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, 3015 GD, The Netherlands.
Marjolein LugtenbergDepartment of Dermatology, Erasmus MC Cancer Institute, University Medical Center Rotterdam, Rotterdam, 3015 GD, The Netherlands. m.lugtenberg@erasmusmc.nl.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundMobile health (mHealth) applications (apps) integrated with artificial intelligence for skin cancer triage are increasingly available to the general public. Nevertheless, their actual uptake is limited. Although endorsement by healthcare providers (HCPs) is one of the perceived facilitators for using this technology, the perceptions of key HCPs in skin cancer triage towards those apps have not been studied.

objectivesTo explore key HCPs' perceived risks, benefits, and preconditions for endorsement of mHealth apps for skin cancer triage in the general population.

methodsAn in-depth qualitative online focus group (FG) study was conducted consisting of six focus groups: three with dermatologists and three with general practitioners (GPs). Dutch dermatologists and GPs were selected using purposive sampling based on age, knowledge and previous experience with AI. A total of sixteen dermatologists and seventeen GPs attended 90-minute FGs. Data were analyzed by a multidisciplinary team in a thorough thematic content analysis using multiple phases of coding derived from Grounded Theory.

resultsA total of four main risks, three main benefits, and four main preconditions for endorsement were identified. Risks perceived by HCPs concerned incorrect diagnoses, exclusion of subpopulations, and loss of GP autonomy in clinical decision making and diagnostic experience. Perceived benefits were increased skin cancer awareness, facilitation of the early detection of skin cancer, and a streamlined patient journey. Preconditions for endorsement were evidence-based verification of accuracy, integration in clinical practice, clarity about liability in case of adverse events, and accessible and inclusive app design.

conclusionsAlthough HCPs perceive pivotal risks related to the implementation of mHealth apps, they also foresee important benefits when implemented successfully. In order for HCPs to endorse those apps, emphasis must be placed on integrating accurate mHealth apps with accessible and inclusive design and functionality into clinical practice, factors that currently appear to be largely unmet.

Indexed as

Attitude of Health PersonnelHealth PersonnelMobile ApplicationsSkin NeoplasmsTriageAdultDermatologistsEarly Detection of CancerFemaleFocus GroupsGeneral PractitionersHumansMaleMiddle AgedNetherlandsQualitative ResearchArtificial intelligenceDermatologySkin cancerSmartphone apps

Identifiers

PMID40346534
PMCPMC12065202

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.